Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | 57291 | GA |
Y | 207K00000X | Allergist & Immunologist | MD034259 | TN |
NPI | 1235178377 |
---|---|
Provider Name | David Curt Chaffin |
First Address | Hixson, TN 37343-5470 |
Second Address | Chattanooga, TN 37421-3192 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2006 |
Last Update Date | 18/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H16114 | (02) |